Description - DE Medical Assistance Program

78801 26 3 39.32
E0111 UE 3 39.32
78016 26 3 39.41
76950 TC 3 39.45
E0930 RR 3 39.52
E0175 UE 3 39.64
95867 26 3 39.82
78428 26 3 39.83
93025 26 3 39.87
78104 26 3 40.04
92270 26 3 40.16
94452 TC 3 40.18
K0039 UE 3 40.21
91052 26 3 40.32
76700 26 3 40.4
76826 26 3 40.5
95868 TC 3 40.55
E1296 RR 3 40.61
92265 26 3 40.66
72295 26 3 40.75
78070 26 3 40.76
70371 26 3 40.87
76802 26 3 40.88
95875 TC 3 40.92
78305 26 3 41.11
86335 26 3 41.2
75805 26 3 41.25
72265 26 3 41.48
76816 26 3 41.59
75960 26 3 41.74
E0958 RR 3 41.74
78223 26 3 41.85
88346 TC 3 41.95
78468 26 3 42.02
92588 TC 3 42.03